New Delhi, Nov 13: Twenty-three-year-old Rahul (name changed) faced an unusual problem. He used to suffer dizziness, anxiety and regular headaches every time after having a meal.
When the problem persisted, he decided to see a doctor and on investigation it was found that the root of the problem was an unusual condition where the blood sugar level drops after a meal instead of rising as is the norm.
Rahul was diagnosed with a relatively uncommon condition called reactive hypoglycemia, or postprandial hypoglycemia, which happens due to excess insulin secretion after a meal.
"The family history of diabetes could have been the reason for the excess insulin secretion," Ajay Kumar Ajmani, Senior Consultant, Endocrinology, BLK Super Speciality Hospital here, told IANS.
Although extreme cases of reactive hypoglycemia are very rare, doctors say that people with insulin resistance and those who are overweight or obese are vulnerable to this condition.
Insulin resistance is a risk factor for the development of Type-2 diabetes, which is increasing in epidemic proportions worldwide -- and more so in India.
Postprandial hypoglycemia occurs when too much insulin is produced and released by the pancreas following a large carbohydrate-based meal.
"Reactive hypoglycemia refers to low blood sugar that occurs after a meal -- usually within four hours after eating. This is different from low blood sugar (hypoglycemia) that occurs while fasting," Subhash Kumar Wangnoo, Senior Consultant Endocrinologist and Diabetologist at the capital's Indraprastha Apollo Hospital, told IANS.
"People who have undergone bariatric surgery (for weight loss) are also more likely to get reactive hypoglycaemia," Wangnoo noted. "In those who have undergone bariatric surgery, the food can pass too quickly into the small intestine (dumping syndrome). As a result, the glucose in food is not absorbed resulting in hypoglycaemia.
"Also an uncommon complication of bariatric surgery is nesidioblastosis -- a condition in which the insulin producing cells of the pancreas undergo hyperplasia, resulting in excess insulin production that can cause reactive hypoglycaemia," Wangnoo explained.
Signs and symptoms of reactive hypoglycemia include hunger, weakness, shakiness, sleepiness, sweating, light-headedness, headache, palpitations, irritability and anxiety.
"Increasing use of carbohydrates and fats and processed foods, along with reduced physical activity, are the underlying factors leading to the increasing prevalence of these conditions," Wangnoo said.
A study published in the journal Diabetologia detailed the history of three patients who did not have diabetes but who suffered so much from severe hypoglycemia following meals that they became confused and sometimes blacked out.
Following weight loss surgery, all three patients -- a woman in her 20s, another in her 60s and a man in his 40s - developed postprandial hypoglycemia that failed to respond to dietary or medical intervention.
The immediate cause of hypoglycemia was exceptionally high levels of insulin following meals. All three patients in the study failed to respond to medication and ultimately required partial or complete removal of the pancreas, the major source of insulin, to prevent dangerous declines in blood glucose.
Thankfully, most cases of postprandial hypoglycemia can be managed by simple modifications in the diet, according to the doctors.
After monitoring blood glucose levels hourly before and after a meal, Rahul's diet too was modified.
"Rahul takes small meals every four hours, exercises daily in the morning and his blood sugar level does not dip below 80 mg/dL. After two months, he seemed to have got rid of the symptoms he used to complain of," Ajmani said.
"Dietary modification with controlled carbohydrate content has been demonstrated to improve symptoms of postprandial hypoglycemia in bariatric surgery-associated hypoglycemia, dumping syndrome, insulin autoimmunity, and postprandial syndrome," Manoj Kumar, Consultant, Endocrinology Department, Jaypee Hospital, Noida, noted.
The doctors advised that patients diagnosed with the condition should have a balanced diet -- high-fibre foods, non-meat source of protein, whole grains, fruits and vegetables. They should also avoid sugary food on an empty stomach.
"Avoid sugary soft drinks and eat several small meals and snacks throughout the day, no more than three hours apart during the waking hours," Ajmani said.
Patients with reactive hypoglycaemia should be screened for diabetes or later development of diabetes as they might be having prediabetes, Wangnoo pointed out.
Dubai, Aug 23: Hundreds of passengers flying to the Philippines' capital Manila were stranded at Dubai International Airport as their flight was canceled due to a "technical issue", a media report sai ..Written by : IANS | 12:33 AM
Beijing, Aug 23: China on Wednesday reacted cautiously to Nepal Prime Minister Sher Bahadur Deuba's four-day visit to India, saying international diplomacy is not a zero sum game. Deuba's visit to ..Written by : IANS | 12:33 AM
New York, Aug 23: Don't blame your adolescent kid for eating high-calorie food -- he or she may not be able to control the urge for burgers, pizzas and french fries due to an impairment in a brain reg ..Written by : IANS | 12:33 AM
Beijing, Aug 23: China on Wednesday rejected the unilateral sanctions imposed by the US on Chinese individuals and entities for their collaboration with North Korea and urged Washington to withdraw th ..Written by : IANS | 12:33 AM
Mumbai, August 23: Bollywood Super Star Salman Khan has been busy with upcoming flick RACE 3 and the actor will once again collaborate with Jacqueline Fernandez. Earlier, The actors have worked tog ..Written by : IANS | 12:33 AM
Hyderabad, Aug 23: The LB Nagar police have arrested a person here on Tuesday who allegedly cheated a woman and her two sons by promising to provide them Govt jobs. While coming to details, The acc ..Written by : IANS | 12:33 AM
Hyderabad, August 23: Udayabhanu is one of the best anchors in the Telugu Industry. She has got a good mark on the Silver screen also. Last year, She blessed with twins last year, she took some bre ..
Mumbai, August 23: AS we knew that, Salman Khan and Aishwarya Rai are in love once upon a time, but later due to the undisclosed reasons they got separated.They were criticized each other after some t ..
Hyderabad, August 23: Tollywood Actress Anu Emmanuel has been busy with the ongoing project under the direction of Trivikram Srinivas. Here the news is that The Director has started the hunt for t ..
Hyderabad, August 22: We knew that Baahubali how sensation created the Box office, apparently, after the release of the film, the movie is appearing in some of the Telugu Movies. Natural Star Nani ..
Mumbai, August 22: Bollywood actress and Hema Malini's elder daughter Esha Deol and her husband Bharat Takhtani are all set to turn parents. According to the sources, the couple is expecting their fir ..
Mumbai, August 21: After making an impressive Hollywood debut alongside Vin Diesel in 'xXx: Return of Xander Cage'. She is super busy with next release Padmavati. And if rumors are to be believed, ..
Mumbai, August 21: Sundeep Kishan, Sharvanand Starrer 'Prasthanam' is one of the best films in the Tollywood industry. The film also features Sai Kumar in the main lead, it is heard that Bollywood ..
New Delhi, Aug 20: Actor R. Madhavan, whose latest shower selfie has got over one lakh likes from fans and followers, says his shower selfie is a bit of an embarrassment because he is not used to bein ..
Chennai. August 21: Actress Keerthy Suresh who has been busy with upcoming flick under the direction of Matala Mantrikudu Trivikram.Power Star Pawan Kalyan is the hero in the film. Now she is busy ..
Hyderabad, August 16: Tollywood Young Rebel Star Prabhas has got huge craze after the Success of Baahubali 1 and Baahubali 2. Here is the interesting news emerged that he is demanding around 30 cro ..
Hyderabad, August 11: Natural Star Nani is busy with the upcoming flick Middle-Class Abbai(MCA), after the completion of shooting MCA he will do with the typical director Hanu Raghavapudi. But acco ..
Mumbai, August 11: Bollywood Bads Shah's Shahrukh Khan's recent flick 'Jab Harry Met Sejal' didn't the success at the box offices. Keep aside of his film disaster, he is planning to do another flick w ..
Hyderabad, August 05: Here is the good news for the Power Star Pawan Kalyan fans, as PSPK 25th film is coming on Sankranthi festival, according to the source's information. The film was directed by ..
Hyderabad, August 04: Power Star fans are eagerly waiting for Blockbuster hit from Power Star, Now the fans are waiting for his upcoming flick under the direction of Trivikram. But the PSPK fans di ..
Hyderabad, August 04: Nandamuri Balakrishna is now enjoying the Paisa Vasool Stumper Teaser success, here is the news he is is going to take a risk this time. His Paisa Vasool is releasing on Septembe ..
Mumbai, Aug 3: Superstar Aamir Khan says when he backs a film as a producer, he and his team trust their heart. Aamir Khan Productions is one of India's most successful production houses, with hit ..
Hyderabad, August 02: Tollywood Actress Anushka Shetty, who is got an immense craze in the world with the epic film Baahubali has reportedly signed to perform a special song in her flick, According to ..
Hyderabad, Aug 02: Rajamouli had a great craze in Telugu film Industry and he is the only director who had no flops in his career. The films 'Bahubali' and 'Bahubali 2' have spread his reputation acro ..
Hyderabad, Aug 02: Pooja Hegde got much craze glamour-wise through 'Duvvada Jagannadham'. She increased her following through this movie only. Based on that, many of the directors and Producers a ..
Hyderabad, Aug 2: Actor Allu Arjun's upcoming Telugu actioner "Naa Peru Surya", in which he plays a military officer, started rolling from Wednesday. According to a source from the film's unit, the ..
Hyderabad, Aug 02: The thing that, Creative Director Sukumar and Rockstar Devisri Prasad are good friends is known. Devi has done Sukumar's all films, starting from 'Aarya' to recent 'Rangasthalam 198 ..
Hyderabad, Aug 01: We knew that Pawan Kalyan said that from October onwards he will be in active in politics. The actor is doing the film with Matala Mantrikudu Trivikram, the film shooting has comple ..
Hyderabad, Aug 01: Niveda Thomas had a good recognition in Tollywood film Industry. The movies of Niveda 'Gentleman' and 'Ninnu Kori' were lined up as block busters at the box office. By this, she got ..
Chennai, July 31: Nayanathara, who is the well-known actress for Telugu, Malayalam and Tamil Industry, Her upcoming flick in Tollywood industry is with the 102nd film of Nandamuri Balakrishna. The ..
Hyderabad, July 28: Krishna Vamsi is one of the few directors in Telugu who commands good fan following among the audience. Even though he is not delivering hits these days, his fans believe that he ..
New Delhi Aug 23: The polling for By- poll el ..
New Delhi, Aug 23: The Cab serviced based com ..
New Delhi Aug 23: An information was revealed ..
Beijing, Aug 23: China on Wednesday reacted c ..
New Delhi Aug 23: An appointment was made tod ..
New Delhi Aug 23: The Cabinet Committee on Ec ..
New Delhi Aug 23: A good news for OBC in the ..
New Delhi, Aug 23: Bollywood superstar Shah R ..
New Delhi, August 23: Delhi High Court issues ..
New Delhi Aug 23: A meeting took place today. ..
Dubai, Aug 23: Hundreds of passengers flying ..
Beijing, Aug 23: China on Wednesday rejected ..
New Delhi, August 23: Google and Walmart have ..
London Aug 23: A history has been created.Mus ..
Spain Aug 23: A new Technology was developed ..
Washington, Aug 23 : US Secretary of State Re ..
Washington Aug 22: A shocking judgment was pr ..
Beijing, Aug 22: A country has supported anot ..
Beijing, Aug 22: China on Tuesday said there ..
Canberra, Aug 22: The Australian government w ..
New Delhi Aug 23: A shock has been received. ..
UAE AUG 23: A good news for Cricket fans. Re ..
India, New Delhi, August 23: BCCI is the worl ..
New Delhi, August 23: On August 22, 2017, The ..
Lucknow, Aug 23: Gujarat Fortunegiants stretc ..
Lucknow, Aug 23: Hosts UP Yoddha succumbed to ..
Glasgow, Aug 23: India's P.V. Sindhu, B. Sai ..
Mumbai Aug 22: Some requests were made recent ..
Glasgow, Aug 22 :India shuttler Kidambi Srika ..
New Delhi, Aug 21: A selection process will b ..
Hyderabad Aug 23: Do you feel that spending m ..
New York, Aug 23: Don't blame your adolescent ..
New York, Aug 23: Researchers have developed ..
New York, Aug 23: Long-term, high-dose supple ..
New York, Aug 23: Are you suffering from high ..
Hyderabad Aug 22: Do you have hair problems.F ..
Toronto, Aug 22: Nearly eight out of every 1, ..
New York, Aug 22: Besides lowering cholestero ..
New Delhi, Aug 22: During and after pregnancy ..
New York, Aug 22: Boosting daily requirement ..